USOLMT Employer Member Form
Please fill this form out completely and honestly to help us learn more about your business and how we can best serve you as a USOLMT Member. 
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Email *
Personal Information
What is your First and Last Name? *
Please enter your business address. *
Business Phone *
Membership Type & Insurance
What Type of Membership Are You Signing up For? *
Required
Why did you decide to Join USOLMT? What are your major concerns? How can we support you the most? *
Are you interested in small business insurance, worker's comp insurance, or other options with our insurance partner, Insurance Canopy? *
Classification
Please provide clarity on your business.  Check all that apply. *
Required
How many massage service providers do you employ? *
Do you have dedicated front desk staff?
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What is your current pay structure?
What benefits and/or perks do you offer?
Are you fully staffed, or do you need new hires?
Clear selection
Please provide your business name, city and location name *
Please provide your business name, city and location name (2) Type none if you only have 1 location. *
Please provide your business name, city and location name (2) Type none if you only have 1 location. *
Are you a massage school graduate? *
Tell us more about your massage business services. *
Required
Please provide all links to Your Business Website(s) *
Licensing Information
What is your Massage License Number?  (If unlicensed, type none). *
Are you required to have an establishment license?
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Associations & Affiliations
What Massage Associations are you a member of?  Also, please provide any other community or volunteer organizations to which you belong or serve. *
Employer Standards: If you would like some help to meet these standards, do not check.  USOLMT will contact you to discuss.
Pay Structure Standards: Please check all that apply. *
Required
Ethical Standards: Please check all that apply.
Client Standards: Please check all that apply.
Facility Standards: Please check all that apply.
Discipline Standards:  Please check all that apply.
Other Standards.  Please check all that apply.
Education
Massage School & Graduation Date or other Educational Institution, Degree, and Graduation Date *
Do you hold any other Licenses or practice any complimentary occupations? (Example: Licensed Esthetician, Yoga Instructor, Trainer, Life Coach, etc.) *
Were you referred by a member of USOLMT? *
If yes, what is the referring member's name and referral code? *
What programs are you interested in? Please check all that apply. *
Required
Membership Agreement

Membership will begin upon acceptance of your application and shall continue perpetually, unless otherwise cancelled or terminated. Membership renewal is automatic unless member requests otherwise. The Association reserves the right to modify membership fees and renewal terms upon providing reasonable notice to the Members. Members are entitled to rights and benefits as described in the bylaws. Members agree to comply with USOLMT's Codes of Conduct and Ethics, Bylaws, and Membership Policies.  As a member, you agree to fill out an annual renewal form that includes career status and any changes in contact information. Members shall not engage in any activity that may harm the reputation or interests of USOLMT or its members. We reserve the right to terminate or suspend a membership at any time for cause, including but not limited to non-compliance with this Agreement or violation of the Association's bylaws, rules, or policies.  Members may cancel membership at anytime by filling out the membership cancellation form. Membership fees are generally non-refundable, except as specified in our refund policy. Members agree that the association and all officers, directors, staff and volunteers shall not be held liable for type of damages incurred as a result of your membership or use of our resources, unless willfully caused by misconduct or gross negligence. This agreement is governed by the laws of Arizona. By submitting your membership application, you acknowledge that you have read and understood this agreement and agree to these terms and conditions.  

Do you accept the terms of the membership agreement? *
Thank you for Joining USOLMT!  Please add bethechange@usolmt.com and usolmt@gmail.com to your accepted email list so we don't go to spam or promotions and you receive your welcome emails and site approval. Next Step: visit www.usolmt.com and set up your site login.  Once approved, you'll have full access.  Sign up your staff at no charge to them, and have them purchase insurance by visiting Members, choosing Discounts, and following the instructions.  You can be listed as a free additional insured on their policy. Enjoy your new association!
A copy of your responses will be emailed to the address you provided.
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